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PARAMETER <br />certify under penalty of law that this document and all attachments were prepared under my direction or <br />, upervisionin accordance with asysrem designed to assure that qualified personnel properly gather and <br />system. ur i s persons d B d c, accurate. or V in the f . t i <br />tl os y pc ptmmhle for gathering the information. the information re Aoki is. <br />to the best of my knowledge and t and eompt I an aware pri once are k ant <br />penl i ulseinfmmamuti true. o ffinc and imprisunmcmfor kno nowing <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />FREQUENCY <br />OF ANALYSIS <br />ST PEE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1 :N =0 <br />. "•" <br />" "" <br />" "" <br />"'"" <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICE attachments <br />certify under penalty of law that this document and all attachments were prepared under my direction or <br />, upervisionin accordance with asysrem designed to assure that qualified personnel properly gather and <br />system. ur i s persons d B d c, accurate. or V in the f . t i <br />tl os y pc ptmmhle for gathering the information. the information re Aoki is. <br />to the best of my knowledge and t and eompt I an aware pri once are k ant <br />penl i ulseinfmmamuti true. o ffinc and imprisunmcmfor kno nowing <br />I t <br />TELEPHONE <br />DATE <br />(,( . ! <br />Q Al )G /� <br />I !i/ , o <br />7'� La <br />MMIDDIYYYY <br />SI NATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (lnc /ude Faci/ityName /Location ifDifferent) <br />NAME: Terror Creek LLC <br />ADDRESS: 43440 Bowie Rd <br />Paonia, CO 81428 <br />FACILITY: TERROR CREEK LOADOUT <br />LOCATION: 43440 BOWIE ROAD <br />PAONIA, CO 81428 <br />ATTN: JAMES T. COOPER, PRESIDENT <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />COG850028 <br />PERMIT NUMBER <br />002A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81428 <br />MINOR <br />Form Approved <br />OMB No. 2040 -0004 <br />DELTA <br />DUGOUT POND TO N FORK GUNNISON <br />External Outfall <br />No Discharge <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR10 -YR 24 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS INPART 1.8.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />Page 2 <br />